**Waitlist** Malibu Club 2019
Sorry, we have a waitlist. We are full at the moment, however we are both trying to get more spots as well as checking to see if anyone has dropped out. We will notify you as soon as we can if there is a spot for you!
Camper Name (first and last) *
Your answer
Parent/Guardian Name (first and last)
Your answer
Gender *
T-shirt Size (adult) *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Student's Phone Number
Your answer
Parent/Guardian's Phone Number *
Your answer
Home Phone Number
Your answer
Student's Email Address
Your answer
Parent/Guardian's Email Address *
Your answer
Date of Birth *
MM
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DD
/
YYYY
School *
Your answer
HS Graduating Class of *
Your answer
Has the camper attended a Young Life Camp before? *
Any Additional Information We Need to Know
Your answer
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